Lean Thinking Techniques Applied to the Logistics Processes of a Liver Transplantation

Abstract

Purpose: The purpose of this research was to make a map of a liver transplantation process, aiming to make a critical analysis on the involved logistics issues, always under the focus of the Lean philosophy, and to suggest improvements that could lead to minimize the waste and other inefficiencies. Methods: The research was developed in partnership with the Hospital das Clínicas Organ Procurement Organization of the State University in Campinas. Procedures have been followed from the organ procurement up to the transplantation in the recipient. After making a map of isolated cases, critical analyses were made, and a process redesign was proposed in order to reduce the lead time. Results: This redesign was represented by a hypothetical current state value stream mapping. Finally, we compared the initial lead time to the final lead time, and some conclusions have been taken. Conclusions: We hope this study will validate the applicability of lean thinking techniques as able to produce improvements in the logistics processes of transplantation proceedings, as it is happening in other healthcare activities.